Organization Active NPI

Debra Minor-Schork LLC

  • Mental Health Counselor
  • Elizabeth City, NC
National Provider Identifier
1285803668
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
100093 Issued in NC
Legal business name
DEBRA MINOR-SCHORK LLC
Practice address
504 East Elizabeth Street
Suite 8
Elizabeth City, NC 27909-4404
Phone
(252) 526-8833
Fax
(252) 482-7462
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Debra Lynne Minor-Schork, RN MSN CSNPI 1003888306
Title
Clinical Nurse Specialist
Phone
(252) 632-4063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 100093 NC Primary

Addresses

Primary practice location

504 East Elizabeth Street
Suite 8
Elizabeth City, NC 27909-4404

Mailing address

119 Montpelier Drive
Edenton, NC 27932-8909
Phone (125) 263-2406

Other identifiers 1

IdentifierTypeStateIssuer
6004040MedicaidNC

National Provider Directory

National Provider Directory

Locations

407 S Broad St
#1
Edenton, NC 27932
Phone (252) 562-8833

504 E Elizabeth St
Ste 8
Elizabeth City, NC 27909
Phone (252) 526-8833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1285803668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MONTPELIER DRIVE",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279328909",
            "telephone_number": "125-263-2406",
            "fax_number": "252-482-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 EAST ELIZABETH STREET",
            "address_2": "SUITE 8",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094404",
            "telephone_number": "252-526-8833",
            "fax_number": "252-482-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA MINOR-SCHORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "MINOR-SCHORK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CLINICAL NURSE SPECIALIST",
        "authorized_official_telephone_number": "252-632-4063",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN MSN CS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "100093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.